Mi SciELO
Servicios Personalizados
Revista
Articulo
Indicadores
Citado por SciELO
Accesos
Links relacionados
Citado por Google
Similares en SciELO
Similares en Google
Compartir
Revista de la Sociedad Española de Enfermería Nefrológica
versión impresa ISSN 1139-1375
Resumen
BLASCO CABANAS, C. et al. A detailed study of the causes of transference from Peritoneal Dialysis to hemodialysis in a Nephrology Service. Rev Soc Esp Enferm Nefrol [online]. 2004, vol.7, n.1, pp.43-48. ISSN 1139-1375.
Objective: To analyse the causes and risk factors of transference to HD in a programme of PD. Material and methods: A descriptive and retrospective study. PD is offered across the board toall patients with IRCT. The following variable were gathered: demographics, clinics, existence of physical deficiencies, functional autonomy, peritonitis, time of treatment and reason for stopping the technique; immediate causes of transfer to hemodialysis, classified as potentially solvable or not. We analyzed the following data on the patients: clinical data, funcional status and social data. Results: Of a total of 103 patients 58.25% of them men, with an average age at the beginning of PD of 59±18, 29% transfered to HD, 16.5% had transplants, 29% died, while 26 people continue in the programme. The immediate causes of transfer to HD were: 30% failure of ultrafiltration (UF) and / or infradialysis, 17% peritonitis, 17% problems related tothe catheter or the abdominal wall, 17% intolerance of PD, 13% social problem and / or seriousillness and 6% the wish of the patient. Of the total transfers, 46% were due to problems related to PD for which there was no solution. The transfer patients had more peritonitis than others and a major proportion of physical deficiencies which made it difficult to carry out PD. Personal and social factors were observed to have a strong influence on the survival of the technique of PD.
Palabras clave : Peritoneal dialysis; Hemodialysis; Change of treatment.